Georgia Mulkerins, APRN is a medicare enrolled "Nurse Practitioner - Family" in Pea Ridge, Arkansas. Her current practice location is
2103 Slack St, Pea Ridge, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 765-1980.
Georgia Mulkerins is licensed to practice in Arkansas (license number 124103) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962207589.
Provider's Profile
Full Name | Georgia Mulkerins |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 2103 Slack St, Pea Ridge, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962207589
- Provider Enumeration Date: 02/17/2025
- Last Update Date: 02/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 6608399720
- Enrollment ID: I20250331000791
Medical Identifiers
Medical identifiers for Georgia Mulkerins such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962207589 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 124103 (Arkansas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Georgia Mulkerins allows following entities to bill medicare on her behalf.
Entity Name | Pea Ridge Urgent Care Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558140749 PECOS PAC ID: 1456796986 Enrollment ID: O20240223003115 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Georgia Mulkerins is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Georgia Mulkerins, APRN 2103 Slack St, Pea Ridge, AR 72751-4005 Ph: (479) 765-1980 | Georgia Mulkerins, APRN 2103 Slack St, Pea Ridge, AR 72751-4005 Ph: (479) 765-1980 |
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